Fresenius Nurse Final Exam Part 1 Questions
With Verified Answers.
The 3 reasons that dialysis is a high risk area: - answer✔1. There is frequent exposure to blood
2. Patients & Staff are in close proximity
3. Dialysis patients are immunocompromised
All dialysis surfaces must be disinfected with _____ bleach solution until surfaces is glistening
_____ and then allow to - answer✔1:100/ wet/ air dry
A ______ bleach solution is used to disinfect a large spill greater than ______ - answer✔1:10/ 10
ml
The following are examples for what process: during initiation and termination of dialysis;
cannulation of an access; needle adjustment; changing a transducer; setting up a dialysis machine
- answer✔Examples of procedures where exposure may occur and PPE must be worn
What 3 blood borne pathogens are found in a dialysis unit? - answer✔hep b, hep c, and HIV
What steps should you take in the event of an exposure incident? - answer✔1. Wash/ rinse area
immediately
2. Report incident to clinical manager or charge nurse
3. Seek medical tx within 1-2 hrs
Hep B is extremely contagious and can live in the environment and remain viable on surfaces for
at least ____ days - answer✔7
How are Hep B patients dialyzed? - answer✔In an isolation room with their own dedicated
equipment such as BP cuff and stethoscope, tourniquet, etc
These should be used to work on computer information in the isolation room. - answer✔Clean
Gloves
True or False? Tx sheets and medical records can enter the isolation room - answer✔False: If tx
sheets are used, the tx sheets cannot enter the isolation room. Nor can medical records
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Staff members should not care for these two types of patients on the same shift at the same time.
- answer✔HBV and patients that are susceptible to HBV
Where do hep c patients dialyze and why? - answer✔In the clinical area, hep c is not contagious
and is is not known to survive for very long outside of the body
How is hep c transmitted? - answer✔Through contaminated blood transfusions in the past or
from sexual contact
How is hep a transmitted? - answer✔contaminated food and the oral-fecal route
Which blood test indicates infection with Hep B? - answer✔HbsAg (HBsAg is the surface
antigen of the hepatitis B virus. It indicates current hepatitis B infection.)
Which blood test indicates the presence of immunity against Hep B? - answer✔HBsAb (The
HBsAb test, or hepatitis B surface antibody test, looks for antibodies that your immune system
makes in response to the surface protein of the hepatitis B virus.)
Which vaccines provides long-term immunity to Hep B? - answer✔Recombivax or Engerix
Is latent TB contagious? - answer✔Latent tuberculosis is not contagious, but can become active
w/o tx
The following are signs and symptoms for what???Night sweats, productive, persistent cough,
unexplained weight loss, chills and fever, blood-tinged sputum - answer✔Tubercolosis
How is TB spread? - answer✔TB is spread by droplet nuclei produced from infected individuals
when they cough, sneeze, sing or speak
Where do TB patients dialyze? - answer✔Not in the Clinic!!!!
In accordance with FMS policy what must TB patients have before they are allowed to return to
the clinic??? - answer✔3 consecutive negative sputum cultures, ppd testing and chest x-rays
According to the new FMS policy, hands should be washed with soap and water for _____
seconds and sanitized with alcohol for ___ seconds - answer✔40-60 seconds/ 20-30 seconds
What are the 3 basic PPE's? - answer✔1. Long sleeve gown
2. face shield w/mask
3. gloves
What are the anatomical structures of the urinary system in order of urine flow? - answer✔1. (2)
kidneys
2. (2) ureters